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1994, 06-22 Permit App: 94005778 Water Heaterjj a ormaL r. Wo"'ksheet 4-5rr�,F JOB STREET ADDRESS: v/ _ CITY/STATE/ZIP:`PARCEL NUMBER: OWNER: r� tl .f� �-�- --- PHONE NUMBER: MAILING ADDRESS: (Stye�jt) (City/State) (zip) A�jc?-' LICENSE NUMBER: DG 0"J SP ! g3M J C:�„N.T RACTOR • -- c, _PHONE NUMBER: /0�.AJ� sL� c/3 A�je' ,�p �� d �p2 4MAILING ADDRESS: ! (Street) (City/state) (zip) now 'C�»�*iCAL k:Fu�i:EETjFEE SCF.F.DU:— NUMBER X EACH DESCRIF:'? C?v OF UNITS � UNIT uta CTWOR..K SYSTEM.- GAS YSTEM_GAS WATZR HEATER HEATING EQUIPMENT 0 ETU _ _ BEATING EQUIPMENT +100, CCC ETU _ _ GAS PIPING ( - - "4 OUTLETS) _ _ _ _ _ _ _ GAS PIRING (5 CR MORE • EACH:) _ _ _ _ REFRrG 1-100M B'Y.0 (NOT A/C OR EEAI POMP) REFRIG. 101-500M BTU_______------ REFRIG 501-1, 000M BTJ_ REFRIG 1,001-1,750M BTU_ REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER. 0 -3 -TONS _ :TEAT PUMP & AIR CONDITIONER. 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-;; C TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & ASR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS_ TYPE I HOOD (PER 12' OR lil P':N. 0.7 Eic4) TYPE II HOOD_____________ CLOTHES DRYER- RANGE RYERRANGE _ _ - -- -- -- - -- - - - - - GAS IAG�-- MISCELI.ANEOUSy (NOT COVECED EI.5E`►r'HERE) _ _ UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ UNLISTED GAS APPLIANCE >400,000 BTC- _ - USED APPLIANCE <400,000 BTU_ _ _ _ - _ _ USED APPLIANCE >400,000 BTU_ AIR HANDLER <10,(WO CFM _ _ AIR HANDLER >10,000 CFM _ _ - ---- �xY_C.CC - ix 2 5. C O x 12.Oc x'- - x x 12.00 = " 20.ac x 25.00 x 35.00 =� x 60 . CC Y x 12.00 x 20.CG x 25. cc = x 35.00 - x 60.0' x 10.00 = x 10.0c _ x 50.00 x 10.00 = Ix 10.00 - �x 10.00 =� x 10.00 = �x 10.00 x 50.00 x100.0c s� x 50.00 = X100.00 x 12.00 - x _ SUBTOTAL AMOUNT PLUS: PROCESSING FEE(+ $ 25.00 EQUALS: TOTAL PERMIT SII _ T "`TW -.1s $#s.00 FEE DUE _ S SIGNATUR _ flokane County Department of Building and Safety uuoct 03 Broadway Avenue Spokane, WA 99260 (5 09) 456-3675